One of the most challenging aspects of the construction industry is working in occupied buildings and spaces.

This is most important when working in a healthcare / hospital environment. Due to changing technology and practices, combined with a scarcity of real estate, hospital facilities are constantly undergoing renovations to existing spaces to maximize their efficiency.

In addition to the standard challenges health care work involves an additional set of standards to adhere to, such as Infection Control, Patient Privacy (HIPPA), and Health Care Association (AHCA) reviews and inspections. The Terracon Group has completed many projects under the provisions mentioned above and has an entire division which is entirely designated to its healthcare projects.

There are many considerations in the construction or renovation of a health care facility. An essential step is an "infection control risk assessment" (ICRA), which provides for long range planning for each phase of the project, from concept to completion, protecting the environment from airborne, chemical, biologic and radiologic hazards. The American Health Care Association (AHCA) must also be notified before construction.

They are primarily responsible for reviewing and approving health care facilities' plans and specifications and surveys the construction, ensuring the structures are safe and functional for patients. In addition, there are several provisions designed to protect patients’ private health information. The government demands certain safeguards to protect the security and confidentiality of health information by the privacy provisions of the Health Insurance Portability and Accountability Act of 1996, known as HIPPA.